Professional Documents
Culture Documents
The Quadhelix Maxillary Expansion Appliance
The Quadhelix Maxillary Expansion Appliance
SUMMARY The mechanics of the quadhelix maxillary expansion appliance have been derived
using the complementary (strain) energy approach, and the results checked experimentally on
enlarged models.
Good agreement between theory and experiment was obtained, for both the lateral stiffness
and the magnitude of the molar couple induced. The analysis shows that the spring characteristics
are defined by three parameters, the lateral stiffness, and two other parameters M\ and M\
which are the rate of change of the molar couple with q> and y respectively, where q> is the
angle the molar arm is rotated on engagement and y the lateral displacement.
0 1
B
Case 1 Case 2
FIG 2A
Figure 2(A) Diagramatic representation of one half of the appliance showing the forces and couples operating on each
component when the appliance is inserted. Left: Case I, the planar model. Right: Case 2, loading system which when combined
with Case I gives the loading on the 3D model (Case 3). N.B. Couples are shown as vectors (broad arrows); O, ® signify forces
out of and into the plane, respectively.
M.
Occlusal plane /c
Case 2 Case 3
Case 1
FIG 2B
Figure 2(B) End on views of one half of 3D model quadhelix showing, from left to right, the disposition of the external force
and couple for cases I, 2 and 3, respectively.
Although the latter may be activated by different clamp simulating the fixation point to a molar
amounts to suit the particular clinical situation, whose vertical angulation may be adjusted. A
in general the central portion between the molar rigid but light symmetrical beam of Perspex had
fixing will be symmetrical about the midline, so a small block of the same material fixed to the
that only one half of it need be considered. underside at the exact centre and was drilled
The rig used for the experimental determi- to secure the anterior bridge portion of the
nation of the deformation behaviour is shown appliance. It carried small hooks at each end at
diagrammatically in Fig. 3A. One half of a equal distances from the centre. By the addition
spring is held rigidly in a vertical plane by a of weights to the hooks, known molar forces
172 S. P. JONES AND N. E. WATERS
A 40 15 2.5 2.5 40 20 10 10 0 •
B 21 5.5 1.5 1.5 16 10 10 10 0 ©•
C 28 10 1.75 2.0 30 26 1 1 0 O
D 40 20 2.0 2.0 42 23 8 13 -5 0 n
18 -10 0 n
23 -15 0 D
E 35 15 2.0 2.0 28 21 30 30 0 10 •
20 •
30 T
F 40 15 2.5 2.5 40 20 10 10 0 10 D
20 A
30
5000 -
4000 -
3000 -
m 2000 -
1000 -
200 40 60 100
(P/y) expt
6. Activation of the anterior arms against the strain gauges. Journal of the Japanese Orthodontic
premolars will reduce the force of expansion Society 42: 442-453
on the molars and produce a couple acting Ricketts R M 1975 Growth prediction: Part 2. Journal of
in a mesio-palatal sense. Clinical Orthodontics 9: 340-362
Thomas G G, Bell R A, Mitchell R 1982 Experimentally
determined forces of maxillary lingual arch expansion
Address for correspondence appliances. Journal of Pedodontics 7: 3-10
Professor N E Waters Timoshenko S 1955 Strength of materials. 3rd edition 328-
Department of Dental Materials Science 334. New Jersey: Van Nostrand Company Incorporated
United Medical and Dental Schools of Guy's Waters N E 1982 The mechanics of buccal canine retraction
springs for removable orthodontic appliances. British
and St. Thomas's Hospitals
Journal of Orthodontics 9: 164-172
Guy's Campus
Waters N E 1972 The mechanics of finger and retraction
London Bridge SE1 9RT springs of removable orthodontic appliances. Archives of
Oral Biology 15: 349-363
Waters N E, Stephens C D, Houston W J B 1975 Physical
References
characteristics of orthodontic wires and archwires. British
Asher C 1985 The removable quadhelix appliance. British Journal of Orthodontics 2: 15-24
Journal of Orthodontics 12: 40-45 West V C 1984 The Cricket appliance. Journal of Clinical
Bell R A 1982 A review of maxillary expansion in relation Orthodontics 18: 806-810
to rate of expansion and patient's age. American Journal
of Orthodontics 81: 32-37 Appendix
Bell R A, LeCompte E J 1981 The effects of maxillary Derivation of the theoretical model
expansion using a quadhelix appliance during the decidu-
ous and mixed dentitions. American Journal of Orthodon- The analytical method has been described in detail in a
tics 79: 152-161 previous paper (Waters, 1982). In brief, the procedure
Bench R W, Gugino C F, Hilgers J J 1978 Bioprogressive required for the three-dimensional model of the
Therapy. Journal of Clinical Orthodontics 12: 279-298 quadhelix is as follows:
and 505-521 1. The appliance is considered to be separated into
Birnie D J, McNamara T G 1980 The quadhelix appliance. its basic components, as shown in Fig. 2(A).
British Journal of Orthodontics 7: 115-120 2. The forces and couples required to maintain each
Chaconas S J, Caputo A A 1982 Observation of orthopaedic component in equilibrium are determined in terms
force distribution produced by maxillary orthodontic of the external force(s) and couple(s) acting. (For
appliances. American Journal of Orthodontics 82: 492-
501 case 1, the planar appliance these are the lateral
contracting force P and the couple M tending to
Chaconas S J, de Alba y Levy J A 1977 Orthopaedic rotate the molar arm, H2. For case 2 an external
and orthodontic applications of the quadhelix appliance.
American Journal of Orthodontics 72: 422-428 force Q is considered to act at the end of the molar
arm H2 in a direction perpendicular to the plane
Champion F C, Davy N 1947 Properties of matter. Blackie
of the appliance together with a couple M^ acting
and Son Ltd., London
at the same point whose vector direction is the
Coffin W H 1881 A generalized treatment of irregularities. same as the direction of P.)
Transactions of the International Congress of Medicine
London: J W Klackmann 3: 542-547 3. The determination of the strain energy of each
Evans D J 1974 Software for numerical mathematics. component for both cases 1 and 2.
London and New York, Academic Press 4. The summation of the individual strain energies
Frank S W, Engel G A 1982 The effects of maxillary to give the total strain energy in each of the two
quadhelix expansion on cephalometric measurements in cases, £/, and U2.
growing patients. American Journal of Orthodontics 81: 5. The application of Castigliano's theorem in the
378-389 forms
Hermanson H, Kurol J, Ronnerman A 1985 Treatment of
unilateral posterior crossbite with quadhelix and remov- Of, 0U2
able plates. A retrospective study. European Journal of (a) - ^ - = yi and - ^ =
Orthodontics 7: 97-102 where ^ 2 and j»2 are the deflections in the direction
Jones S P, Waters N E 1989 The quadhelix maxillary of and at the point of application of the forces P
expansion appliance. II: Clinical characteristics. Euro- and Q, respectively.
pean Journal of Orthodontics. In press
... dU, , , dU2
Kamogashira K, Hata S, Ichikawa K, Hirose T, Kubota A, (b) ST7 = <P and —
Matsumoto M 1983 The effects on the maxillary complex
induced by the quadhelix appliance—measurement by where <p and a are the angular rotations produced
QUADHELIX MAXILLARY EXPANSION APPLIANCE 177
by the applied couples M and M! for cases 1 and <pH = 92cosT—0i
2, respectively. where 03 is the angle the molar tube orfixingmakes
6. The equations obtained may be solved simul- in the horizontal plane, the following expressions,
taneously to give (i) for case 1, the deflection yt written in BASIC for ease of assembly into a
under the load P and the value of M for a given computer program, may be derived for the molar
P and angle (p. (ii) for case 2, the deflection y2 couple M2, the deflection y for a given load Fand
under the applied force Q and the value of M, for stiffness S. If the load F for a given deflection y is
a given Q and angle a. required, a simple iterative procedure, e.g., the
7. The separate analyses for cases 1 and 2 are then Newton-Ralphson (Evans, 1974) may be used. In
combined to give the deflection characteristics of these expressions G = the flexural rigidity of the
the three-dimensional model (case 3) in which each wire {El) in the plane of bending and R = E\n, the
half of the quadhelix from the mid-sagittal plane ratio- of the Young's modulus to the rigidity
is assumed to be inclined at an angle 7" to a modulus of the wire. Note that the angles 9U 92,
horizontal plane (see Fig. 2(B)). 93 and <p which would normally be measured in
For case 3 the horizontal displacement y under degrees have been transformed to angles A, B, C
a force F is given by: and D (AO, BO, CO and DO in radian measure).
Again, the variables DMT and DMY denote the
y = yt cos T=y2 sin T change in M2 per degree change in cp, and the
and the angular rotation of the molar arm in the change in M2 per unit change in y.
occlusal (horizontal) plane by:
hA 2*G*D0 F*V,
q>H = <p cos T+ a sin T
remembering that
and
K4 + F*K3]/(2*G)
S = 2G/(K3-K1*K4/K2)
DMT=2*G/V2
DMY=-2*G*V\I(V2*V3-V\*V4)
PI =3.14159 Q9 = Q2*Q2
X = L/2 Q10 = Q4*Q4
AO = A*P1/18O Qll = Q 9 - Q 1 0
BO = B*P1/180 Q12 = Q3*Q3
CO = C*P1/180 Q13 = Q1*Q1
TO = T*P1/180 Q14 = Q6*Q6
A6 = AO + BO Q15 = 2*QUQ3
A5 = (3iPl)-A6— Q16 = 2*Q5*Q6- —
A51 =5*Pl/2-AO Q17 = 2*Q2*Q4
Ql = COS(AO) Ul =SIN(TO)
Q2 = COS(BO) U2 = COS(TO)
Q3 = SIN(AO) U3 = U1*U1
Q4 = SIN(BO) U4 = U2*U2
Q5 = COS(A6) ZO = H2*Q2-R2*Q4
Q6 = SIN(A6) Zl = H2*Q2 + R2*(Q3-Q4)
Q7 = Q2 + Q4 Z2 = Z1-(H1*Q1)
Q8 = Q2-Q4 Z3 = Z2-R1*(1-Q3)
Fl = ( ( H 2 A 2 ) » Q 2 ) - ( ( H 1 A2)*Q1) + (2*Z1*H1) + (2*Z3*X)
F2 = (2*Z0*R2*A5) + ( 2 * ( R 2 A 2 ) * Q 2 * ( 1 + Q 5 ) )
F3 = (2*(R2 A 2)*Q4*Q6)
F4 = 2*(Z3 + Rl)*RU((5*Pl/2)-AO)-(2*(Rl A2)*Q1)
Bl = F 1 + F 2 + F3 + F4
El = ( ( 2 / 3 ) * ( H 2 A 3 ) * ( Q 2 A 2 ) ) + ((2/3)*(H1 A3)*(Q1 A 2))
178 S. P. JONES AND N. E. WATERS
E2 = (2*(Z1 A 2 ) * H 1 ) - ( 2 * Z 1 * ( H 1 A 2 ) * Q 1 )
E3 = (2*(Z3 A2)*X) + ( 2 * ( Z 0 A 2 ) * R 2 * A 5 )
E4 = 4*Z0*(R2A2)*Q2*(1 +Q5)
E5 = 4*Z0*(R2 A 2)*Q4*Q6
E6 = (1/2)*(R2 A 3)*(SIN(2*A6))*((Q2 A 2) -(Q4 A 2))
E7 = (3*P1 *(R2 A 3)*(Q2 A 2)) + (A5*(R2 A 3)*(Q4 A 2))
E8 = 2*(R2 A 3)*Q4*Q2*(Q6 A 2)
E9 = 2*((Z3 + R 1 ) A 2 ) * R 1 * ( ( 5 * P I / 2 ) - A O )
F6 = 4*(R1 A2)*(Z3 + R1)*Q1
F7 = 2*(R1 A 3 ) * ( ( ( 5 * P 1 / 4 ) - ( A O / 2 ) ) + ((COS(2*AO))/4))
B2 = E1+E2 + E3 + E4 + E5 + E6 + E7 + E8 + E9-F6 + F7
C\ = 2*(H1 +H2 + X + (R2*A5) + (RU((5*Pl/2)-AO)))
C 3 = ( ( H 2 A 2 ) * Q 2 ) - ( ( H 1 A 2 ) * Q 1 ) + (2*Z1*H1) + (2*Z3*X)
C4 = (2*Z0*R2*A5) + (2*(R2 A2)*Q2*(1 + Q5))
C5 = 2*(R2 A 2)*Q4*Q6
C6 = (2*Rl*(Z3 + Rl)*((5*Pl/2)-AO))-(2*(Rl A2)*Q1)
= H2*U1+R2*(1+U2)
D33 = H2*Q5-R2*Q6
= H2*Q4+H1*Q3 + R2*(Q1+Q2) +
= H2*Q2-H1*Q1+R2*(Q3-Q4)-R1*(1-Q3)
D36 = D35 + R1
K11 = 2*H I *D33*Q1 + H2*H2*Q2 + R2*H2*Q8* A5 + R2*H2*Q 16*Q7/2
K.12 = R2*Q14*Z4 + Rl*A51*D36-Rl*Q15*D36/2 + R)*D34*Q13
K13 = R/2*(L*D35 + 2*Hl*D33*Ql+R2*A5*H2*Q8-R2*Q16*H2*Q7/2)
K14= R/2*(-R2*Q14*Z4 + 2*R2*R2*(Ql+Q2) + Rl*A51*D36)
K15 = R/2*(Rl*Q15*D36/2-Rl*D34*Q13-2*Rl*Rl*Ql)
Kl =K1I+K12 + K13 + K14 + K15-H1*HI*Q1
Lll =2*Hl*Q13 + 2*H2*Q9 + R2*A5 + R2*Q16*Qll/2-R2*Q14*Q17
L12 = Rl*A51-Rl*QI5/2
L13 = R/2*(L + 2*Hl*QI3 + 2*H2*Q10 + R2*A5-R2*Q16*Qll/2)
L14= R/2*(R2*Q14*Q17 + Rl*A51+RUQ15/2)
LI =L11+LI2 + L13 + L14
K21 = 2/3*(X*X*X + Hl*Hl*Hl +H2*H2*H2) + 2*X*X*D34
K22 = L*D34*D34-2*H1*H1*D33 + 2*H1*D33*D33 + R2*A5*Z5
K23 = R2*Z6*Q16/2 + 2*R2*R2*H2*Q14 + Rl*A51*(D36*D36
K24 = RI/2*(D34*D34-D36*D36)*Q15 + 2*RUQ13*D34*D36
K25 = R/2*(L*D35*D35 + 2*HI*D33*D33 + R2*A5*Z5-R2*Z6*Q16/2)
K26=R/2*(4*H2*R2*R2*Q5-2*H2*R2*R2*QI4-4*R2*R2*R2*Q6)
K27 = R/2*(4*H2*R2*R2 + A5*R2*R2*R2 + R1*A5U(D36*D36 + D34
K28 = R/2*(-Rl*Q15*(D34*D34-D36*D36)/2-2*RUQ13*D34*D36)
K29= R/2*(2*A51*R1*R1*R1+4*RUR1*D34-2*R1*R1*(D34*